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v3.25.3

Segment Reporting (Tables) | 9 Months Ended
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Sep. 30, 2025
Segment Reporting [Abstract] |
Schedule of Segment Revenue and Operating Income | The following segment information, including significant segment expenses, is presented in millions:
|  | Three Months Ended September 30, |  | Nine Months Ended September 30,
|  | 2025 |  | 2024 |  | 2025 |  | 2024 |  |
Surgical Facilities Revenues |  | $ | 821.5 |  |  | $ | 770.4 |  |  | $ | 2,423.7 |  |  | $ | 2,249.9 |  |  |
Less: |  |  |  |  |  |  |  |  |  |
Salaries and benefits |  | 242.8 |  |  | 228.4 |  |  | 716.6 |  |  | 666.8 |  |  |
Supplies |  | 208.9 |  |  | 201.4 |  |  | 639.7 |  |  | 589.9 |  |  |
Professional and medical fees |  | 104.0 |  |  | 91.0 |  |  | 301.4 |  |  | 266.0 |  |  |
Lease expense |  | 21.5 |  |  | 23.9 |  |  | 65.2 |  |  | 67.5 |  |  |
Other segment items (1) |  | 88.4 |  |  | 77.2 |  |  | 255.0 |  |  | 242.8 |  |  |
|  | 665.6 |  |  | 621.9 |  |  | 1,977.9 |  |  | 1,833.0 |  |  |
Adjusted Surgical Facilities EBITDA |  | $ | 155.9 |  |  | $ | 148.5 |  |  | $ | 445.8 |  |  | $ | 416.9 |  |  |
Reconciliation: |  |  |  |  |  |  |  |  |  |
Add back: Net income attributable to non-controlling interests |  | (48.0) |  |  | (38.1) |  |  | (132.8) |  |  | (118.7) |  |  |
Unallocated amounts: |  |  |  |  |  |  |  |  |  |
General and administrative expenses |  | 22.4 |  |  | 29.2 |  |  | 94.5 |  |  | 102.7 |  |  |
Transaction and integration costs |  | 12.6 |  |  | 29.4 |  |  | 55.4 |  |  | 66.1 |  |  |
Other corporate expenses |  | 23.7 |  |  | 16.9 |  |  | 33.3 |  |  | 26.4 |  |  |
Depreciation and amortization |  | 39.5 |  |  | 50.2 |  |  | 116.1 |  |  | 118.7 |  |  |
Interest expense, net |  | 74.9 |  |  | 50.0 |  |  | 205.0 |  |  | 148.8 |  |  |
Income before income taxes |  | $ | 30.8 |  |  | $ | 10.9 |  |  | $ | 74.3 |  |  | $ | 72.9 |  |  |
(1)Other segment items includes equity in earnings of unconsolidated affiliates, net income attributable to non-controlling interests and other expenses, net.
Schedule of Financial Information by Reportable Segment |
|  | Three Months Ended September 30, |  | Nine Months Ended September 30,
|  | 2025 |  | 2024 |  | 2025 |  | 2024 |  |
Depreciation and amortization: |  |  |  |  |  |  |  |  |  |
Surgical Facilities |  | $ | 36.7 |  |  | $ | 44.2 |  |  | $ | 107.8 |  |  | $ | 108.2 |  |  |
All other |  | 2.8 |  |  | 6.0 |  |  | 8.3 |  |  | 10.5 |  |  |
Total depreciation and amortization expense |  | $ | 39.5 |  |  | $ | 50.2 |  |  | $ | 116.1 |  |  | $ | 118.7 |  |  |
|  | Nine Months Ended September 30,
|  | 2025 |  | 2024 |  |
Cash purchases of property and equipment: |  |  |  |  |  |
Surgical Facilities |  | $ | 65.0 |  |  | $ | 64.4 |  |  |
All other |  | 0.9 |  |  | 3.7 |  |  |
Total cash purchases of property and equipment |  | $ | 65.9 |  |  | $ | 68.1 |  |  |
Schedule of Reconciliation of Assets from Segment to Consolidated |
|  | September 30, 2025 |  | December 31, 2024
Assets: |  |  |  |
Surgical Facilities |  | $ | 7,504.3 |  |  | $ | 7,466.3 |
All other |  | 442.3 |  |  | 423.7 |
Total assets |  | $ | 7,946.6 |  |  | $ | 7,890.0 |

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- Definition Tabular disclosure of all significant reconciling items in the reconciliation of total assets from reportable segments to the entity's consolidated assets. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 31 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-31 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Subparagraph (c) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-30 + Details
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- Definition Tabular disclosure of the reconciliation of profit (loss) from reportable segments to the consolidated income (loss) before income tax expense (benefit) and discontinued operations. Includes, but is not limited to, reconciliation after income tax if income tax is allocated to the reportable segment. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 31 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-31 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-30 + Details
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- Definition Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 25 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-25 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-22 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-30 + Details
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